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Effects of Nasal Surgery on Sleep Quality in Obstructive Sleep Apnea Syndrome with Nasal Obstruction
Effects of Nasal Surgery on Sleep Quality in Obstructive Sleep Apnea Syndrome with Nasal Obstruction
- Source :
- American Journal of Rhinology. 22:59-63
- Publication Year :
- 2008
- Publisher :
- SAGE Publications, 2008.
-
Abstract
- Background The purpose of this study was to evaluate the effects of nasal surgery on nasal resistance, sleep apnea, and sleep quality in adult male patients with obstructive sleep apnea syndrome (OSAS). A prospective study was performed in OSAS patients who underwent isolated nasal surgery in a tertiary referral center. Methods During the 3-year study period, 49 OSAS patients suffering from symptomatic nasal obstruction/impaired nasal breathing underwent the standard polysomnography before and after surgery. Polysomnography along with measures of nasal resistance and daytime sleepiness (the Epworth sleepiness scale [ESS] scores) were reviewed also. Results Surgery decreased the nasal resistance (0.55 ± 0.37 Pa/cm3 per second versus 0.17 ± 0.19 Pa/cm3 per second; p < 0.001) and ESS scores (11.7 ± 4.1 versus 3.3 ± 1.3; p < 0.001), without changes in the apnea-hypopnea index (AHI; 44.6 ± 22.5 versus 42.5 ± 22.0). Surgery increased nadir oxygen saturation (76.2 ± 10.9% versus 78.8 ± 8.1%; p < 0.01), shortened apnea–hypopnea duration (averaged/maximum; 33.5 ± 7.3/61.1 ± 46.0 versus 28.8 ± 7.4/47.3 ± 36.1 second; p < 0.05/p < 0.01), and improved sleep quality. Conclusion The results suggest that nasal surgery is useful for lowering nasal resistance, ameliorating sleep-disordered breathing, and improving sleep quality and daytime sleepiness in OSAS.
- Subjects :
- Adult
Male
Polysomnography
MEDLINE
Nose
Sleep Apnea Syndromes
Humans
Medicine
Nasal surgery
Aged
Retrospective Studies
Sleep quality
medicine.diagnostic_test
business.industry
Sleep apnea
Endoscopy
Retrospective cohort study
Middle Aged
medicine.disease
Otorhinolaryngologic Surgical Procedures
Obstructive sleep apnea
Treatment Outcome
Otorhinolaryngology
Apnea–hypopnea index
Anesthesia
Nasal Obstruction
Sleep
business
Follow-Up Studies
Subjects
Details
- ISSN :
- 15396290 and 10506586
- Volume :
- 22
- Database :
- OpenAIRE
- Journal :
- American Journal of Rhinology
- Accession number :
- edsair.doi.dedup.....b171dc725df1b2aad5dbe73bc70d80cb
- Full Text :
- https://doi.org/10.2500/ajr.2008.22.3120